Active NPI
Niraj Vyas, PT
- Physical Therapist
- Schaumburg, IL
National Provider Identifier
1922531912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070020623
- Practice address
- 675 S Roselle Rd
Schaumburg, IL 60193-3100 - Phone
- (216) 227-7700
- NPI assigned
- Apr 6, 2017
- Last updated
- Apr 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070020623 | IL | Primary |
Addresses
Primary practice location
675 S Roselle Rd
Schaumburg, IL 60193-3100
Mailing address
16600 Sprague Rd. #365
Middleburg HTS, OH 44130
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070020623 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wallace Management Corporation | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1922531912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16600 SPRAGUE RD. #365",
"city": "MIDDLEBURG HTS",
"state": "OH",
"postal_code": "44130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 S ROSELLE RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601933100",
"telephone_number": "216-227-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VYAS",
"first_name": "NIRAJ",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-06",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070020623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.